• Title/Summary/Keyword: Nascet

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Comparative Evaluation of North American Symptomatic Carotid Endarterectomy Trial and Warfarin-Aspirin Symptomatic Intracranial Disease Methods for Measurement of Middle Cerebral Artery Stenosis in Digital Subtraction Angiography and Magnetic Resonance Angiography (디지털 감산 혈관조영술과 자기 공명 혈관조영술에서 중대뇌동맥의 협착 측정을 위한 North American Symptomatic Carotid Endarterectomy Trial 및 Warfarin-Aspirin Symptomatic Intracranial Disease 방법의 비교 평가)

  • Lee, Jung-Hoon;Kim, Sang-Hyun
    • Journal of radiological science and technology
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    • v.42 no.5
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    • pp.351-356
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    • 2019
  • This study aimed to determine whether there was a difference in measurements between North American Symptomatic Carotid Endarterectomy Trial(NASCET) and Warfarin-Aspirin Symptomatic Intracranial Disease(WASID) methods that measure the middle cerebral artery stenosis in Digital Subtraction Angiography (DSA) and Magnetic Resonance Angiography (MRA). It involved 24 patients who had completed both DSA and MRA among patients with Middle Cerebral Artery (MCA) stenosis. The Middle Cerebral Artery (MCA) stenosis was measured using the NASCET and WASID methods through a retrospective analysis. For the NASCET and WASID methods, they performed measurements on normal blood vessels located far from and close to the stenosis, respectively. The mean value and standard deviation of the Digital Subtraction Angiography (DSA) measured by the NASCET method were 59.23% and 13.27%. On the other hand, those of the Digital Subtraction Angiography (DSA) measured by the WASID method were 66.64% and 12.47%. And, the mean value and standard deviation of the Magnetic Resonance Angiography (MRA) measured by the NASCET method were 49.82% and 12.06%. By contrast, those of the Magnetic Resonance Angiography (MRA) measured by the WASID method were 56.63% and 10.67%. All the p-values obtained by the Pearson and Spearman correlation tests in the Digital Subtraction Angiography (DSA) and the Magnetic Resonance Angiography (MRA) were <0.01. In conclusion, this study suggests that both the NASCET and WASID methods to measure the middle cerebral artery stenosis in the Digital Subtraction Angiography (DSA) and the Magnetic Resonance Angiography (MRA) can be used if they are not used interchangeably.

삼차원 조영증강 자기공명혈관조영술을 이용한 내경동맥 협착에 대한 평가: 디지털감산혈관조영술과의 비교

  • 한동복;최충곤;박지강;이정현;이호규
    • Proceedings of the KSMRM Conference
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    • 2001.11a
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    • pp.139-139
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    • 2001
  • 목적: 경동맥 분지부에서 내경동맥 협착에 대한 평가에 있어서 삼차원 조영증강 자기공명혈관조영술의 정확도를 알아보고자 하였다. 대상 및 방법: 삼차원 조영증강 자기공명혈관조영술(3D Contrast-enhanced MRA)과 디지털감산혈관 조영술(Digital Subtraction Angiography, DSA)을 모두 시행한 35명의 환자, 68예의 내경동맥을 분석하였다. 내경동맥 협착의 측정은 North American Symptomatic Carotid Endarterectom Trial (NASCET) 기준을 이용하였다. 두 가지 검사에서 협착 정도를 경도(mild:0-29%), 중등도(moderate:30-69%), 심한 협착(severe:70-99%), 완전 폐색(occlusion:100%)등 네 그룹으로 나누었다. 두 명의 관찰자(A,B)가 DSA에서 측정한 협착 정도를 기준으로 3D Contrast-enhanced MRA에서 측정한 협착 정도를 비교하여 두 검사 방법간에 판정 일치율과 차이점을 분석하였다.

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